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2015
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Preference of PSC (in case of Admission)
(To be filled by Candidate)
Study Centre Code (See Annexure)
i)
ii)
iii)
DECLARATION OF THE APPLICANT
I hereby declare that I have read and understood the conditions of eligibility for the B.Ed. programme for
which I seek admission. I fulfill the minimum eligibility criteria and I have provided necessary information
in this regard in the application form. I shall provide proof of my eligibility along with the original certificates
in the event of qualifying for admission after Entrance Test at the time of counselling. I have carefully
studied the rules of the University as printed in the prospectus and I accept them and shall not raise any
dispute in future over the same rules. In the event of any information being found blank, incorrect or misleading,
my candidature shall be liable to cencellation by the University at any time and I shall not be entitled to
refund of any fee paid by me to the University.
Date: ................................. (Signature of Applicant)
INSTRUCTIONS FOR CANDIDATES
1. Please send your Application form by Regd. Post/Speed Post to the Regional Centre under whose
jurisdictional area you are Teaching. List of Regional Centres is given in Annexure-I in the student
handbook and prospectus.
2. Application form submitted to any office other than the concerned Regional Centre will not be entertained.
3. No change of category shall be entertained after the submission of application form.
4. The last date for the receipt of filled in application form at the concerned Regional Centre will be
the date as mentioned in the advertisement. Application received after this date will not be accepted.
5. Please retain the photocopy of the form for future reference.
6. Copy of documents mentioned at (i), (ii) & (iii) under employment certificate are to be attached with
this application form.
7. Application form received without proper filling of employment certificate and other documents will
be summarily rejected.
8. Application form with overwriting/fluid will be summarily rejected.
FOR OFFICIAL USE
Mentioned at (i), (ii) & (iii)
Checked & Verified all necessary documents and the student is Eligible/not-eligible for appearing in
the Entrance Examination in 2014.
Signature of the Official ....................................
Name of the Official .........................................
Hall Ticket
Designation .........................................................
Issued Not Issued Name of the Regional Centre/Division ...............
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INSTRUCTIONS
1. This card should be produced on demand at the Study
Centre and Exami nati on Centre or any other
Establishment of IGNOU to use its facilities. No
Student shall be allowed to appear in any examination/
practical without it.
2. The facilities would be available only relating to the
course or courses for which the student is actually
registered.
3. Duplicate Identity Card will be issued by the Regional
Director, on payment of Rs. 200/- by way of Demand
Draft only in favour of IGNOU payable at the city
where Regional Centre is located.
4. Loss of Identity Card is to be reported immediately to
the nearest Police Station &
5. Identity Card is to be submitted to the issuing authority
after completion of the said programme.
STUDENT CARD
Indira Gandhi National Open University
ACKNOWLEDGEMENT CARD
Dear Student,
Thank you for joining IGNOU Programme. We acknowledge the receipt of your application form. Please mention
Enrolment Number and course applied for in all your future correspondence with the University.
To be filled in by the Student
CourseApplied for : ..........................................................
DD/Challan No. : ..........................................................
DD/Challan Date : ..........................................................
Amount : ..........................................................
DD Drawn on : ..........................................................
(FOR USE OF IGNOU FACILITIES ONLY)
For Office Use Only
Your Enrolment Number is
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PASTE
LATEST PHOTOGRAPH TO
BEPASTEDWHICHWILL
BE
ATTESTEDBY
UNIVERSITYOFFICERS
Enrolment No. _________________________________
Name of the Programme _________________________
Name ________________________________________
Father's/Husbands/Mother's Name _________________
____________________________________________
Address (in Capital Letters) _______________________
____________________________________________
____________________________________________
Pin Code _________________
Full Signature of the Candidate ____________________
From
The Regional Director,
IGNOURegional Centre
_____________________
_____________________
ATTESTEDBY
REGIONALDIRECTOR____________________
INDIRAGANDHI NATIONALOPENUNIVERSITY
Affix
Postage
stamp for
Rs 6/-
Please mention your full postal address at the space allocated
To
______________________________________
______________________________________
______________________________________
CITY: _________________________________
STATE: _______________________________
PIN:
AglaSem Admission